Third-year student at the Medical College of Georgia in Augusta.
Junior at Augusta University in Augusta, Georgia.
AMA J Ethics. 2023 Jul 1;25(7):E540-544. doi: 10.1001/amajethics.2023.540.
Diagnostic utility of weight and body mass index (BMI) is widely overestimated. Although both are clinically relevant, their use as universal measures of health and wellness can result in missed or incomplete diagnoses, which are neglected sources of iatrogenic harm. This article problematizes overreliance on weight and BMI in assessing disordered eating behaviors and suggests how physicians can prevent harmful delays in indicated interventions. This article also canvasses misconceptions about the prevalence and severity of eating disorders in people with higher BMIs and encourages holistic approaches to caring for patients with obesity.
体重和体重指数 (BMI) 的诊断效用被广泛高估。尽管两者在临床上都有相关,但将其用作健康和健康的通用衡量标准可能会导致漏诊或诊断不完整,而这些漏诊是医源性伤害的被忽视的根源。本文探讨了过度依赖体重和 BMI 来评估饮食障碍行为的问题,并提出了医生如何防止对有指征的干预措施造成有害的延误。本文还探讨了关于 BMI 较高的人群中饮食失调的患病率和严重程度的误解,并鼓励采用整体方法来照顾肥胖患者。